The nurse was teaching the client how to plan his diabetic diet. The client explained that he was on the road a lot and ate in truck stops where they did not serve that kind of food
Furthermore, his mom and dad had both died of diabetic complications, and he already knew he probably would also. What is the nurse's best action?
A. Explain why the client might have to change careers and be more optimistic.
B. Recognize that the client has a present time orientation and stop wasting effort on teaching him about a diet he will not follow anyway.
C. Review the client's priorities and see what compromises in nutrition might be possible in his job.
D. Try to help the client see the importance of planning for the future.
ANS: C
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The nurse is very observant of patient behavior because all behavior has meaning and is:
a. preformed. b. important. c. learned. d. repeated.
When reviewing the plan of care for a patient with mental illness, the nurse notes that the patient is not meeting one of the established goals. What is the nurse's best action?
1. Collaborate with the patient to reassess the plan of care. 2. Collaborate with the health care provider to reassess the plan of care. 3. Change the plan of care according to the patient's most recent assessment. 4. Change the plan of care according to the newly defined nursing diagnosis.
Which nail change found on examination would be most alarming?
a. Dark bands seen on all fingernails of a dark-skinned person b. Yellow discoloration of the great toe of an older adult c. Single dark band in a white adult d. Pits in both index fingernails of an adult
The nurse feels most confident that an older patient is prepared to assume self-management of new type 2 insulin-dependent diabetes when the patient
a. is heard asking her son to check the insu-lin's expiration date. b. is able to identify the symptoms of hy-poglycemia. c. asks why she needs to test her glucose le-vels so frequently. d. inquires why she needs to have an A1C test every 3 months.